Individual provider · Type 1 NPI

Terri Anne Willis, NURSE PRACTITIONER

Adult Health Nurse Practitioner · Baltimore, MD

NPI number 1245477694 Active

Practice location

9105 Franklin Square Dr
Baltimore, MD 21237-3930

Fax (410) 574-2691

Mailing address

851 Manhattan Ave
Brooklyn, NY 11222-2539

Other practice locations

  • 851 Manhattan Ave, Brooklyn, NY 11222-2539 · (718) 752-7280

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner 363LA2200X304203 (NY)
Adult Health Nurse Practitioner Primary 363LA2200XR238735 (MD)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1245477694

Terri Anne Willis, NURSE PRACTITIONER's National Provider Identifier is 1245477694, issued on Jan 7, 2009. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Baltimore, MD. The record was last updated on Jun 25, 2019.